| NPI | 1457761553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 88055-020) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 88055-020) |
| 207R00000X Internal Medicine (Licence: MA 269369) | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2026-09-09 |